Meta-Analysis of the Efficacy and Safety of Umbilical Therapy in Patients with Insomnia
DOI:
https://doi.org/10.54097/d9bxyy21Keywords:
Umbilical therapy, Umbilical moxibustion, Insomnia, Efficacy, Safety.Abstract
To systematically evaluate the efficacy and safety of umbilical therapy in improving symptoms of insomnia patients. Randomized controlled trials (RCTs) on the application of umbilical therapy in insomnia patients were retrieved from PubMed, MEDLINE, Cochrane Library, Web of Science, FMRS, CNKI, VIP, Wanfang Database, and CBM from inception to March 20, 2025. Meta-analysis was performed using RevMan 5.3 software. A total of 703 articles were retrieved, and after deduplication, abstract screening, and full-text review, 28 studies were included, involving 894 patients in the observation group and 892 in the control group. The results showed that umbilical therapy was safe and effective in insomnia patients, significantly reducing Pittsburgh Sleep Quality Index (PSQI) scores (P<0.05), decreasing TCM symptom scores (P<0.05), and improving treatment efficacy (P<0.05). Umbilical therapy can effectively improve symptoms in insomnia patients, enhance treatment outcomes, and is associated with no severe adverse reactions.
Downloads
References
[1] REE M, JUNGE M, CUNNINGTON D. Australasian Sleep Association position statement regarding the use of psychological/behavioral treatments in the management of insomnia in adults [J]. Sleep Med, 2017, 36 Suppl 1: S43-s7.
[2] ZHUANG J, ZHAN Y, ZHANG F, et al. Self-reported insomnia and coronary heart disease in the elderly [J]. Clin Exp Hypertens, 2016, 38 (1): 51-5.
[3] SU L, LU Z. Interpretation of Chinese guideline for insomnia disorder diagnosis and its treatment in 2017 [J]. World Clinical Medicine, 2018, 39 (04): 217-22.
[4] YIN J, JIN X, SHAN Z, et al. Relationship of Sleep Duration with All-Cause Mortality and Cardiovascular Events: A Systematic Review and Dose-Response Meta-Analysis of Prospective Cohort Studies [J]. J Am Heart Assoc, 2017, 6 (9).
[5] JIKE M, ITANI O, WATANABE N, et al. Long sleep duration and health outcomes: A systematic review, meta-analysis and meta-regression [J]. Sleep Med Rev, 2018, 39: 25-36.
[6] SU XJ. Clinical Research on the Rules of Herbal Administration in NavelTherapy of Leukorrhagia [D], 2012.
[7] QIN RM. Effect of Moxibustion with Constant Temperature and GingerSeparation on Prevention and Treatment of Nausea andVomiting Caused by Chemotherapy for Breast Cancer [D], 2019.
[8] WU XL. Effect of thunder fire moxibustion on Shenque Insomnia patients sleep fuction after stroke [D], 2017.
[9] DUAN YF. Clinical observation on insomnia with umbilical therapeutic sleeping prescription [J]. Journal of Shanxi University of Traditional Chinese Medicine, 2018, 19 (06): 36-8.
[10] XIE CY, YANG YF. Clinical observation of 40 patients with diabetic foot and insomnia with heart and spleen deficiency in the treatment of diabetic foot with heart and spleen deficiency through umbilical cord therapy [J]. Asia-Pacific Traditional Medicine, 2018, 14 (07): 150-2.
[11] JI JP. Observation on the Effect of Insomnia and Thyroid antibodiesin Primary hypothyroidism patients with Herbs-partitionedMoxibustion on the Navel [D], 2018.
[12] AN RD. Clinical Study of Drug Separated Moxibustion and UmbilicusTherapy for Insomnia of Elderly Patients with Angina PectorisDue to Heart and Kidney Disharmony [D], 2018.
[13] SONG S. Clinical Observation on the Effect of Hypothyroidism with DepressionTreatment of Herb-partitioned Moxibustion on the Navel [D], 2018.
[14] YE XN, MA YX, GAO SZ, et al. Clinical study of umbilical cord therapy in the treatment of hepatic depression insomnia [J]. Journal of External Treatment of Traditional Chinese Medicine, 2018, 27 (06): 6-7.
[15] HUANG HL. Observation on the efficacy of Shenque acupoint and salt moxibustion in the treatment of sleep disorders [J]. Inner Mongolia Traditional Chinese Medicine, 2019, 38 (08): 124-5.
[16] SUN SJ.Observation of the clinical efficacy of "Wen Qingsan" moxibustion umbilical cord method in the treatment of primary insomnia with anxiety state [D], 2019.
[17] ZHOU CX. Clinical observation of thermosensitive umbilicalmoxibustion in treating climacteric syndrome [D], 2020.
[18] PA J, DOU X, HUANG XJ. A clinical study of Bupleurum plus keel oyster decoction combined with ginger moxibustion in the treatment of IBS-C with insomnia [J]. Chinese Practical Medicine, 2020, 15 (19): 167-9.
[19] HE YJ. Clinical efficacy of Lu's umbilical moxibustion combined with acupuncture in the treatment of primary insomnia [D], 2020.
[20] LI J. Study on the application of moxibustion onnavel and acupoint massage in insomnia ofdeficiency of heart and spleen [D], 2020.
[21] ZHANG YM. Effect of moxibustion combined with traditional Chinese medicine emotional care on sleep quality and quality of life of insomnia patients [J]. World Journal of Sleep Medicine, 2021, 8 (08): 1378-9.
[22] HAN J. The effect of moxibustion therapy on the improvement of insomnia in cancer patients was observed [J]. Journal of Contemporary Clinical Medicine, 2021, 34 (06): 60-1.
[23] ZHANG H. Effect of ginger moxibustion combined with auricular acupoint bean embedding on sleep quality in patients with lung cancer insomnia [J]. Modern distance education of Chinese medicine, 2021, 19 (19): 124-6.
[24] LI DC, XIE JH, LAI CB, et al. Clinical observation of moxibustion umbilical cord therapy in the treatment of insomnia with heart and spleen deficiency [J]. Yunnan Journal of Traditional Chinese Medicine, 2021, 42 (06): 92-4.
[25] SHI LC. Clinical Observation of Medicine-separated Moxibustion onNavel Combined with Acupuncture in the Treatment of Peri-menopausal Syndrome of Kidney-yin Deficiency [D], 2022.
[26] GUO FF. Observation of the efficacy of moxibustion therapy in the treatment of cervicogenic insomnia and its effect on the carotid artery blood flow resistance index [J]. New Chinese Medicine, 2022, 54 (22): 118-21.
[27] ZHANG M, LIANG BL, LONG YJ, et al. Effect of wheat moxibustion combined with foot acupressure on sleep quality in elderly patients with stroke complicated with insomnia [J]. Nursing Practice & Research, 2022, 19 (05): 705-8.
[28] HE HY, ZENG JM, LIU XY, et al. Clinical observation of acupuncture combined with mild moxibustion in the treatment of insomnia with heart and spleen deficiency [J]. Chinese Health Standards Management, 2022, 13 (08): 131-5.
[29] SONG QQ, MA RL. Clinical study of acupuncture combined with moxibustion Baihui acupoint in the treatment of insomnia after stroke [J]. Modern Chinese Medicine, 2023, 43 (03): 56-61.
[30] ZOU JY, XIE XY, LI HW, et al. Clinical observation of acupuncture combined with fine moxibustion in the treatment of perimenopausal insomnia with cardiorenal non-crossing [J]. Journal of Guangzhou University of Traditional Chinese Medicine, 2023, 40 (08): 1982-8.
[31] HE SL, HE XJ, HUANG NN, et al. Efficacy of acupuncture combined with umbilical cord moxibustion in the treatment of insomnia with heart and spleen deficiency [J]. Journal of External Treatment of Traditional Chinese Medicine, 2023, 32 (05): 78-81.
[32] YANG YR. A single-blind randomized controlled trial of traditional Chinese medicine umbilical moxibustion combined with umbilical patch in the treatment of chronic insomnia [D], 2023.
[33] LIU H. Observation of the efficacy of diaphragm moxibustion and auricular pressure beans in the treatment of insomnia in patients with chronic hepatitis B [J]. Journal of Shandong Medical College, 2024, 46 (04): 31-2.
[34] PAN CL, MENG P. Effect of umbilical cord moxibustion combined with acupoint application in patients with perimenopausal insomnia [J]. Contemporary Chinese Medicine, 2024, 31 (25): 79-82.
[35] SHI SH, CAI XY, HAN SM, et al. Study on the effect of umbilical moxibustion combined with traditional Chinese medicine Shuxinning Shen Fang foot soak in the treatment of patients with encephalopathy and insomnia [J]. Chinese Medicine Guide, 2024, 22 (17): 145-7.
[36] PENG XH, LIN MH, GAO SZ, et al. Effect of warm acupuncture on the sleep structure of patients with chronic insomnia with heart and spleen deficiency [J]. Clinical Journal of Acupuncture, 2024, 40 (06): 26-30.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Highlights in Science, Engineering and Technology

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.







